Online form

All details required in order to proceed with online pilates classes

Terms and Conditions
* Payment for all sessions is required in full prior to the start time of your session. Payment is required in full on booking to confirm your chosen time
* Please give more than 24 hours notice to any cancellations or time swaps where possible
* Less than 24 hours notice incurs full payment of session cancelled 
* Due to Covid rules, times are strict to the hour. If you are late the session will still end at the designated time. Allowing cleaning before and after and limiting the number of people nearby
* Please do not show up early for your session, as you may have to wait outside until the earlier person's session has ended and extra covid cleaning has been completed and the room is ready for you.
* If you feel ill, reschedule your session for another time again giving notice or accepting the late alteration/cancellation fee.

WAIVER and DISCLAIMER

  The classes provided by Forbes Pilates are for educational and entertainment purposes only, and is not be interpreted as a recommendation for a specific treatment plan, or course of action. Exercise is not without risks, and this or any other exercise programme may result in injury. They include but are not limited to:risk of injury, aggravation of a pre-existing condition, or adverse effect of over-exertion such a muscle strain, abnormal blood pressure, fainting, disorders of heart beat, and very rare instances of heart attack. To reduce the risk of injury, before beginning this or any exercise programme, please consult a healthcare provider for appropriate exercise prescription and safety precautions. The exercise instruction and advice presented in the classes are in no way intended as a substitute for medical consultation. Forbes Pilates disclaims any liability from and in connection with the classes. As with any exercise programme, if at any point during the class you begin to feel faint, dizzy or have any physical discomfort, you should stop immediately and seek medical advice.  Disclaimer for the beginning of each recording: Please take note of the following precautions before taking the class: To reduce and avoid injury, you will want to check with your doctor before beginning the classes. By participating in the classes you are doing so at your own risk. Forbes Pilates will not be responsible or liable for any injury or harm you sustain as a result of our Pilates programmes. If at any point during the class you begin to feel faint, dizzy or have any physical discomfort, you should stop immediately and seek medical advice. Please use good judgement and common sense when taking the class, consider your level and ability and choose the appropriate level of the exercises and rest when you need to. Enjoy!
Once you complete all questions and send, you will see a thank you page.
If you miss any mandatory questions (marked by a red asterisk) this form will not send.

Physical Activity Readiness Questionnaire

 IF YOU HAVE ANSWERED YES TO ONE OR MORE OF THE 9 QUESTIONS Talk to your doctor by phone or in person before you start becoming more physically active. Tell your doctor about this questionnaire and which question you answered YES to. You may be able to do any activity you want as long as you build up slowly and gradually. Or you may need to restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activity you wish to participate in and follow his/her advice.  IF YOU HAVE ANSWERED NO TO ALL QUESTIONS You can be reasonably sure that you can start to become more physically active and take part in a suitable exercise programme. Remember to begin slowly and build up gradually. PLEASE NOTE If your health changes so that subsequently you answer yes to any of the above questions, inform your Class Instructor immediately. If you feel unwell because of a temporary illness such as a cold or flu, delay becoming more active and wait until you are better before starting your first class.

Your full name *
Mobile phone number *
Email *
Date of birth *
Your full address *
Occupation. Previous occupation if retired. It helps to know how to prefer to work, think, and how you move day to day, in order to fully tailor Pilates to you *
Sports and Hobbies *
Emergency contact name *
Emergency contact phone number *
1 Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? OR do you suspect you have some sort of heart trouble or defect? YES/NO
2 Do you ever feel pain in your chest when you do physical activity? YES/NO
3 Have you ever had a chest pain when you are not doing physical activity? YES/NO
4 Do you ever feel faint or have spells of dizziness? YES/NO
5 Do you have a joint problem that could be made worse by exercise? YES/NO
6 Have you ever been told you have high blood pressure? YES/NO
7 Are you currently taking any medication of which the instructor should be made aware? YES/NO
8 Are you pregnant or have had a baby in the last 6 months? YES/NO
9 Is there anything else what your instructor should be aware of? YES/NO And if so, please detail here thank you.
Physical Activity Readiness Questionnaire (9 Questions) If you have answered yes to any question, check with your Dr. prior to starting. *
Does your work/sport involve any of the following? *	sitting for long times bending lifting heavy weights driving standing any other repetitive action
Will this be the first time you have practiced Pilates? Tick all that apply. *	first time experience of group classes experience of private sessions Mat (exercises on a mat) Equipment (reformer, cadillac, etc)
Do you suffer from asthma diabetes or epilepsy? *	no none asthma diabetes epilepsy other
Do you lose your balance because of dizziness or do you ever lose conciousness, feel faint, or dizzy? *
Do you have high, low, or normal blood pressure? *	high high under control normal low under control low
Have you had major surgery in the last 10 years? If yes what type? *
Have you had any surgery in the last 2 years? If yes what type? *
Have you had minor surgery in the last 2 years? If yes please provide details. It may effect your movement, organ function etc. *
Have you ever been told that you have arthritic joints, osteoporosis, osteopenia, or any bone or joint problem? Please detail if yes *
Do you have neck or back pain? Please detail if yes *
Do you have pain or restricted movement in other joints? (e.g. hip knee ankle shoulder) *
Have you ever been diagnosed as hypermobile? (excessive joint mobility) *
Are you taking any drugs or medication which may affect your ability to exercise? *
Are there any movements that cause you pain? *
Any other reason or condition that effects your movement or exercise? *
Have you been recommended to take up Pilates by a specialist practitioner? *
Do you hereby give us permission to contact them? If yes please give details
Are you, or could you be pregnant? If yes, contact Forbes Pilates for the natal health form to complete in addition to this standard health form. *
YOUR AIMS. What are your reasons for taking up Pilates? *
YOUR AIMS. What are your health or physical goals you'd like to achieve over the next 3 months? *
YOUR AIMS. What are your health or physical goals you'd like to achieve over the next year? *
Any questions or requests?
Terms and Conditions * Agree with Terms and Conditions detailed *
Your signature *
Date of signature *
Where did you hear of Forbes Pilates? *
Confirmation that you have fully read and agree with the disclaimer below *
Confirmation that you have fully read and agree with the terms and conditions *